SADE KHORAMI (NPI# 1124534409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124534409 |
| Entity Type | Individual |
| Full Name | SADE KHORAMI |
| Practice Address |
23745 225th Way Se Ste 201 Maple Valley WA 98038-5294 |
| Mailing Address |
3624 113th Ave Ne Bellevue WA 98004-7688 |
| Practice Telephone | 8886745871 |
| Enumeration Date | 2017-12-21 |
| Last Update Date | 2017-12-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP60816367 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
23745 225TH WAY SE STE 201 |
| City | MAPLE VALLEY |
| State | WA |
| Zip Code | 98038-5294 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073670055 | Larry G. Knauss | Clinical Neuropsychologist | 23745 225th Way Se Ste 201, Maple Valley, WA 98038-5294 | 2007-01-02 |
| 1053922898 | Mijin Han | Nurse Practitioner | 23745 225th Way Se Ste 201, Maple Valley, WA 98038-5294 | 2020-08-14 |
| 1760017115 | Ma Isabel Abuhon Obligacion | Nurse Practitioner | 23745 225th Way Se Ste 201, Maple Valley, WA 98038-5294 | 2020-03-05 |
| 1750929600 | Briana Hodson | Nurse Practitioner | 23745 225th Way Se Ste 201, Maple Valley, WA 98038-5294 | 2019-12-11 |
| 1588207765 | Tara Harvey | Nurse Practitioner | 23745 225th Way Se Ste 201, Maple Valley, WA 98038-5294 | 2019-10-21 |
| 1144880683 | Bruncuso Properties Inc | Clinic/Center | 23745 225th Way Se Ste 201, Maple Valley, WA 98038-5294 | 2019-06-17 |
| 1942860697 | Traveling Wellness Ps | Clinic/Center | 23745 225th Way Se Ste 201, Maple Valley, WA 98038-5294 | 2019-06-15 |
| 1124685045 | Johnny E Liner | Nurse Practitioner | 23745 225th Way Se Ste 201, Maple Valley, WA 98038-5294 | 2019-05-27 |
| 1619439924 | Markita Renee Guiden | Nurse Practitioner | 23745 225th Way Se Ste 201, Maple Valley, WA 98038-5294 | 2019-04-04 |
| 1255804654 | Tao Liang | Physician Assistant | 23745 225th Way Se Ste 201, Maple Valley, WA 98038 | 2019-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619456357 | Ryan Koichi Taniguchi | Physical Therapist | 26837 Maple Valley Black Diamond Rd Se Ste 200, Maple Valley, WA 98038 | 2018-08-13 |
| 1841722311 | Michelle Atkinson | Behavior Technician | 26846 226th Pl Se, Maple Valley, WA 98038 | 2017-04-03 |
| 1285019828 | Blue River Counseling, LLC | Counselor | 22728 228th Avenue Se, Maple Valley, WA 98038 | 2015-07-24 |
| 1619356060 | Victoria Labrie | Specialist/Technologist | 24961 230th Pl Se, Maple Valley, WA 98038 | 2015-05-19 |
| 1114328523 | Scott Joseph Akers | Physical Therapist | 26837 Maple Valley Black Diamond Road, Suite 200, Maple Valley, WA 98038 | 2014-09-05 |
| 1487069647 | Thomas A. Holt Dds Pllc | Dentist | 27016 Maple Valley Black Diamond Road South East, Maple Valley, WA 98038 | 2014-06-26 |
| 1548515216 | Stirewalt PC | Dentist | 24040 Se Kent Kangley Rd, Suite E200, Maple Valley, WA 98038 | 2012-07-19 |
| 1124399183 | Samantha Halfen | Counselor | 26828 Maple Valley Hwy, Suite #152, Maple Valley, WA 98038 | 2012-01-24 |
| 1326336868 | Troy Aaron Nordyke | Physical Therapist | 26837 Maple Valley Highway, Suite 200, Maple Valley, WA 98038 | 2011-07-19 |
| 1598074510 | Luna Healthcare, LLC | Audiologist-Hearing Aid Fitter | 22010 Se 248th Street, Maple Valley, WA 98038 | 2010-09-27 |
| Find all providers in zip 98038 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700485919 | Yanique Ricie Nana Yakam Azah | Nurse Practitioner | 22829 Se 239th Ct, Maple Valley, WA 98038-5052 | 2020-10-19 |
| 1043846207 | Kathleen Gayle Tabaquin Boado | Nurse Practitioner | 26913 223rd Ln Se, Maple Valley, WA 98038-7479 | 2020-03-19 |
| 1356682470 | Traveling Pain Management Doctors Psc | Nurse Practitioner | 21234 Se 273rd Pl, Maple Valley, WA 98038-3350 | 2013-03-14 |
| 1760017115 | Ma Isabel Abuhon Obligacion | Nurse Practitioner | 23745 225th Way Se Ste 201, Maple Valley, WA 98038-5294 | 2020-03-05 |
| 1457837486 | Nissa Loving Kisler | Nurse Practitioner | 26458 Maple Valley Black Diamond Rd Se, Maple Valley, WA 98038 | 2018-07-12 |
| 1992296842 | Kathryn Michelle Ordon | Nurse Practitioner | 24080 Se Kent Kangley Rd, Maple Valley, WA 98038-6801 | 2018-05-27 |
| 1114420734 | Rachel Malof | Nurse Practitioner | 23745 225th Way Se Ste 201, Maple Valley, WA 98038-5294 | 2018-03-09 |
| 1972032845 | Amy Marie Warner | Nurse Practitioner | 23745 225th Way Se Ste 201, Maple Valley, WA 98038-5294 | 2017-06-05 |
| 1609230333 | Guenever Parsley | Nurse Practitioner | 23745 225th Way Se Ste 201, Maple Valley, WA 98038-5294 | 2016-04-08 |
| 1235394321 | Travis Anthony Dalton | Nurse Practitioner | 27203 216th Ave Se, Ste D, Maple Valley, WA 98038-3273 | 2008-07-28 |
| Find all providers in MAPLE VALLEY | ||||
| City | MAPLE VALLEY |
| Zip Code | 98038 |
Please comment or provide details below to improve the information on SADE KHORAMI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.